KevinMD December 8, 2024
Francisco M. Torres, MD

As a pain management specialist, I have often found that the course of treatment for a patient requires a careful balance of many factors before making a recommendation. But sometimes, the best course seems obvious. That was the case with Mr. Bautista (name replaced to protect identity). He was an older gentleman, and his imaging scans showed spinal stenosis that was likely to lead to nerve pain. And what was his chief complaint on that day? Excruciating pain in his lower back, of course.

It would have been easy to prescribe him a standard battery of physical therapy or pain medication. However, the actual cause of Mr. Bautista’s back pain was not as straightforward as it seemed. His pain did...

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